Prabhjit Kour, Sanjay Bhat, Kalyan Dutt
BACKGROUND Fifty cases of suspected genital tuberculosis who had attended the OPD of a private nursing home in Jammu were shortlisted and investigated. The aim of the study was to evaluate the clinical presentation of the disease, the mode of diagnosis and the response of antitubercular therapy. MATERIALS AND METHODS Fifty genital tuberculosis cases of all age groups were analysed at random in the OPD of Obstetrics and Gynaecology in a private nursing home of Jammu from January 2016 to December 2016. Mode of presentation was infertility, chronic pelvic pain, menstrual problems or adnexal masses not responding to treatment. RESULTS Maximum number of patients (36%) was in the 21-25 years age group followed by those in the 26-30 years age group (26%). Infertility was the presenting complaint in 70% patients and menstrual disturbances in 34% patients. Diagnostic laparoscopy was positive in 92.3% of patients and Hysterosalpingography (HSG) was found to be positive in 66.6%. Positive endometrial biopsy was observed in 40% patients only. 83.33% patients were relieved from chronic lower abdominal pain, while 79% of patients were relieved from menstrual disturbances. 19.14% patients conceived during or after the treatment while tubo-ovarian masses disappeared in 73.3% patients after antitubercular therapy. CONCLUSION Not much has changed in the investigation and management of pulmonary or extrapulmonary tuberculosis till date. Same holds true regarding genitourinary tuberculosis also despite all recent advances regarding the investigation and management. Clinical suspicion remains the cornerstone for these aspects. More extensive studies are required to determine the exact burden of genitourinary tuberculosis from this part of the world and its impact on menstrual irregularity, infertility and various other aspects of female health.
